Organization
BELL THERAPY - SHERIDAN GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA SINGH PH.D. (DIRECTOR OF RESIDENTIAL SERVICES)
(414) 527-6940
Entity
Organization
Contact information
Practice address
5470 N 19TH ST, MILWAUKEE, WI 53209-5013
(414) 228-1997
(414) 228-4740
Mailing address
5470 N 19TH ST, MILWAUKEE, WI 53209-5013
(414) 228-1997
(414) 228-4740
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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